CAJ | 학술논문

目的：探讨基于计划行为理论而建立的妊娠期糖尿病俱乐部健康教育模式的效果。方法通过方便抽样法,选择2013年8—12月进行产前检查、孕22~28周被诊断为妊娠期糖尿病( GDM)的60例孕妇作为研究对象。通过简单随机分组法之摸球法,将摸到单号的30名孕妇纳入干预组,参加妊娠期糖尿病俱乐部；将摸到双号的30名孕妇纳入对照组,接受常规健康教育。观察两组孕妇干预前后空腹血糖及餐后2h血糖、糖尿病知识问卷与自我效能得分情况。结果干预后干预组患者空腹血糖与餐后2 h血糖分别为(4.99±0.31),(7.89±0.93)mmol/L,优于对照组,差异有统计学意义(t=-2.11,-2.08；P<0.05)。干预组患者糖尿病知识问卷总分(25.70±2.72)分,高于对照组,差异有统计学意义(t=4.18,P<0.01)；干预组较对照组孕妇对饮食管理、运动管理、血糖控制等方面更有信心,差异有统计学意义(P<0.05)。结论以计划行为理论为基础的妊娠期糖尿病俱乐部健康教育形式为GDM孕妇提供了切实可行、有理论依据的健康教育方式,值得临床推广。
목적：탐토기우계화행위이론이건립적임신기당뇨병구악부건강교육모식적효과。방법통과방편추양법,선택2013년8—12월진행산전검사、잉22~28주피진단위임신기당뇨병( GDM)적60례잉부작위연구대상。통과간단수궤분조법지모구법,장모도단호적30명잉부납입간예조,삼가임신기당뇨병구악부；장모도쌍호적30명잉부납입대조조,접수상규건강교육。관찰량조잉부간예전후공복혈당급찬후2h혈당、당뇨병지식문권여자아효능득분정황。결과간예후간예조환자공복혈당여찬후2 h혈당분별위(4.99±0.31),(7.89±0.93)mmol/L,우우대조조,차이유통계학의의(t=-2.11,-2.08；P<0.05)。간예조환자당뇨병지식문권총분(25.70±2.72)분,고우대조조,차이유통계학의의(t=4.18,P<0.01)；간예조교대조조잉부대음식관리、운동관리、혈당공제등방면경유신심,차이유통계학의의(P<0.05)。결론이계화행위이론위기출적임신기당뇨병구악부건강교육형식위GDM잉부제공료절실가행、유이론의거적건강교육방식,치득림상추엄。
Objective To explore the effects of gestational diabetes mellitus ( GDM) club health model based on theory of planned behavior ( TPB) . Methods By convenient sampling method, we selected 60 patients who were diagnosed as GDM when they had prenatal examination during gestational 22 weeks to 28 weeks as research sampling from August to December in 2013. According to touch ball method of simple random sampling method, 30 GDM patients with single number took part in GDM club as experimental group while another 30 GDM patients with double number involved routine health education as control group. The fasting blood glucose ( FBG) , 2 h postprandial blood glucose (2 h PBG), diabetes mellitus knowledge scale and self-efficacy had been observed and compared before and after intervention. Results After the intervention, the FBG and 2 h PBG were (4. 99 ± 0. 31), (7. 89 ± 0. 93) mmol/L in the experimental group, which were better than those of the control group (t= -2. 11, -2. 08, respectively;P < 0. 05). The total score of diabetes mellitus knowledge scale was (25.70 ±2.72) in the experimental group,which was higher than that of the control group (t =4. 18,P <0. 01);the gravida of the experimental group had more confidence at diet management, excise management, blood glucose control than the control group (P<0. 05). Conclusions GDM club health education based on TPB can provide a feasible and theoretical health education method ( club type) for GDM, and it is worthy of clinical promotion.